- 期刊
Hematogenous Osteomyelitis of the Patella in a Child
兒童的髕骨血行性骨髓炎：病例報告
摘要
由於病例少見，而且在疾病初期缺乏X光的發現，兒童的體骨血行性骨髓炎不容易早期診斷。作者在此報告一個8歲男孩感染體骨血行性骨髓炎的病例，同時做文獻上的回顧。如果病人的體骨有持續性的疼痛、腫大，而對於保守治療沒有反應時，就應以高度懷疑考慮此一疾病。當診斷已經有明顯延誤或者影像檢查已發現有死骨存在時，治療的選擇就是手術清創。此疾病和敗血性膝關節炎的鑑別診斷是相當重要的，關節切開術在體骨骨髓炎是不需要的，而且可能會造成膝關節的感染。
關鍵字
無資料並列摘要
The early diagnosis of osteomyelitis of the patella in children is difficult due to rarity of this infection and lack of radiologic signs in the early stage. The authors report a case of hematogenous osteomyelitis of the patella in an 8-year-old boy and review the literature. The disease should be highly suspected in a patient with persistent pain and swelling of the knee that does not respond to conventional management. Surgical debridement is the treatment of choice when the diagnosis has been delayed or there is a sequestrum in the image study. The diagnosis should be differentiated with septic arthritis of the knee. Arthrotomy is not necessary in osteomyelitis of the patella and may produce infection into the joint.
延伸閱讀
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